Doctor Name: | MARCELLE PICK |
NPI Number: | 1336249515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC MSN NP |
License Number: | R020461 |
Business Practice Address: | 3 Marina Rd Yarmouth, ME - 040966783 |
Business Phone Number: | 2078466163 |
Business Fax Number: | 2078466167 |
Mailing Address: | 3 Marina Rd, YARMOUTH |
State: | ME |
Postal Code: | 040966783 |
Phone Number: | 2078466163 |
Fax Number: | 2078466167 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 12/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | R020461 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |